Do UTI Medications Affect Birth Control Effectiveness? - Obstetrics and Gynecology

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Contraceptive efficacy issues?


Hello Doctor, I recently developed a somewhat severe case of urethritis (accompanied by fever and vomiting).
I have already seen a urologist and have taken the medication prescribed by the doctor, but I am also taking the oral contraceptive pill (Yasmin).
I am unsure if the medications prescribed by the urologist will affect the contraceptive effectiveness because the urologist told me that taking them separately "should" not cause any issues.
I am a bit worried about this.
The medications I was prescribed are UROGEN S.C.
TABLETS, YUNGKEN FILM COATED, LONFADROXIL CAPSULES, Tagamet 200mg, and FUCOLE PARAN TABLETS.
Doctor, will these affect the effectiveness of the contraceptive? Thank you.

jen, 20~29 year old female. Ask Date: 2016/07/12

Dr. Lü Lizheng reply Obstetrics and Gynecology


The impact is minimal; as long as you continue to take the contraceptive pills regularly, you will still have a good contraceptive effect.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/07/12

More Info


When it comes to the interaction between medications for urinary tract infections (UTIs) and birth control pills, it is essential to understand how different drugs can affect the effectiveness of contraceptives. In your case, you are taking a combination of medications for your UTI, including UROGEN S.C. tablets, YUNGKEN FILM COATED tablets, LONFADROXIL capsules, Tagamet (cimetidine), and FUCOLE PARAN tablets, while also using a birth control pill (悦姿).

First, let's address the concern about antibiotics, as they are often the primary focus when discussing drug interactions with birth control. Most antibiotics do not significantly affect the effectiveness of hormonal contraceptives. However, there are exceptions, with rifampin and rifabutin being the most notable antibiotics that can reduce the effectiveness of birth control pills. The medications you mentioned do not fall into this category, so they are unlikely to interfere with your contraceptive method.

Cimetidine (Tagamet), which is an H2 receptor antagonist used to reduce stomach acid, has been studied for its potential effects on hormonal metabolism. While it can affect the metabolism of certain drugs, the evidence regarding its impact on birth control pills is not definitive. Generally, it is not considered to significantly reduce the effectiveness of hormonal contraceptives.

As for the other medications you are taking for your UTI, such as UROGEN S.C. and FUCOLE PARAN, there is limited evidence to suggest that they would interfere with the efficacy of your birth control pill. These medications are primarily used to treat urinary tract infections and do not have known interactions with hormonal contraceptives.

It is important to note that the effectiveness of birth control can also be influenced by factors such as missed doses, gastrointestinal issues (like vomiting or diarrhea), and the timing of when medications are taken. Since you mentioned experiencing symptoms like fever and vomiting, if you have had any episodes of vomiting shortly after taking your birth control pill, this could potentially affect its absorption and effectiveness.

In summary, based on the medications you are taking for your UTI, there is no strong evidence to suggest that they will affect the effectiveness of your birth control pill. However, if you have any concerns or experience any side effects, it is always best to consult with your healthcare provider for personalized advice. They can provide you with the most accurate information based on your specific situation and health history.

Lastly, if you are ever in doubt about the interactions between medications and birth control, keeping an open line of communication with your healthcare providers is crucial. They can help clarify any uncertainties and ensure that you are taking the necessary precautions to maintain effective contraception while treating your UTI.

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